Suggest treatment for high fever and fatigue

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Question: I had a bad case of the flu a 5 weaks ago with fever over 102 deg. I am still sick in stomach and weak and shaking. I am in Arizona. Other conditions i have previously are stomach polyps from PPIs over last 15 yrs. and hiatal hernia, and very high collesterol.
I also have cholangitis a bile duct blockage from gall bladder surgery 7 years ago that has gotten infected twice.
My general labs are normal as of a week ago. Don't know what to do next.

Would you clarify a few things for me, please? *by flu, do you mean stomach flu or a respiratory infection? *do you smoke or consume alcohol? *have you checked your sugar levels last week?*what is your blood pressure like? *what medications are you on a regular basis?*even before the flu, have you been feeling rundown, fatigued, not well rested? *have you had a follow up for the cholangitis in the past month? *any abdominal pain or fever, chest discomfort, digestive trouble?

Based on your symptoms I would like to rule of impaired glucose tolerance and adrenal insufficiencyI recommend :-a physician consult -blood tests (blood glucose levels, complete blood count, kidney and liver function tests, lipid profile, thyroid hormones levels, HbA1c, ). If you have already done some of these, please forward the reports, if possible.-ultrasound to check for liver and kidney health-electrocardiogram and echocardiogram (to check for heart issues as you have high cholesterol) -salivary cortisol levels

Stress on your body can cause hormone imbalances which can lead to diabetes and fatigue syndrome.Heart disease can present as vague symptoms related to stomach and general fatigue in women. So please see a doctor to rule out anything serious. Hope this helps. Please get back to me with the above requested clarifications so that I can help you further.

Wish you good health. Please let me know if there is anything else I can help you with. Warm regards, Dr. Shuba Hariprasad

Thank you for your suggestions. I just found a Dr here a week ago, and they said my labs were normal, ie, liver, kidneys, cbc, thyroid, but I don't have access to them yet. I never smoked and don't drink and have normal blood pressure. I have fatty liver and had Hepatitis A as a child. I have hypothyroid and take Levothyroxine .88, Omeprazole 20 mg, Hrt Climara Hormone Patch 1/week & Lunesta 2 mg at bedtime. I have an essential (head) tremor that seems worse since my fever a month ago. Upper stomach area hurts and a lot of burping. I am still a little weak and legs weak. I have concerns about hiatal hernia or heart at this point. Have had many stomach polyps removed over the past 15 years from taking PPIs. So also concerned about my stomach. Will call for another appt, and give your suggestions. Any other suggestions?Thank you very much!Health care down here is hard to get. We are winter visitors so finally got a Dr here.

Yes you do seem to have gastritis.As you have been on proton pump inhibitors (ppi) for a long time while, risk of H. Pylori infection is there. These cause ulcer disease over time.

*are your stools normal? Color?

I suggest :-avoid refined grains and processed foods. -have whole grains and home made foods-avoid milk and fruit together and don't have these within an hour of a meal.-don't have caffeine on an empty stomach. -have more frequent but smaller meals and chew them well before swallowing. -have plenty of water but not during meals. Few Sips are OK, if necessary. Else have water after a half hour after meals.-avoid laying down within 2 hrs of a meal. -avoid sugary and carbonated beverages. -milk, honey soothe the stomach and intestinal lining.

These measures should help with gastritis. When your food remains in your stomach for long, bacteria act on it to digest it and produce gas. If the food is not chewed properly, this can take a longer time and more gas is produced. So make sure you chew food well. Reducing the amount you eat will help in digestion too. Frequent meals can keep your metabolism at a stable rate and give you more energy through the day.

Hope this helps.please let me know if there is anything else I can help you with. Wish you the best of health.Warm regards, Dr. Shuba Hariprasad

My husband has recently been diagnosed with type 2 diabetes after a sugar level reading of 500. Now he has a high liver enzyme count and a dialated bike duct. Could the high sugar reading be contributing to this?

I have recently been diagnosed with cholangitis by my gastro dr but was not prescribed antibiotics. My doctor said ERCP would be the treatment, however, I was hospitalized for 34 days last year with pancreatitis and an ERCP at the time inflamed that condition consideralby. I was wondering if I should ask my dr if I should be on antibiotics, he set me up for a follow up in 4 months to have a blood test done at that time. The cholangitis diagnoses came up as a result of a liver biospsy I had done last month. Thanx p.s. He diagnosed me with crhonic pancreatitis last year.

A 4-year-old girl presented to the hospital with progressive abdominal pain and distention after a 1-week history of watery diarrhea. The physical examination showed a body temperature of 36.2°C, a distended abdomen, hypoactive bowel sounds, and diffuse tenderness without rebound pain. The laboratory evaluation revealed a white-cell count of 5000 per cubic millimeter, with 63% segmented neutrophils, What is the diagnosis? Ankylosing spondylitis Ascending cholangitis InteWhat is the diagnisusstinal obstruction Pancreatitis Perforation of a viscus

I am a 32 y/o male and I recently had a blood test done and my liver enzymes are elevated. GGT-116 ALT-49 Alk Phos-136 and also had a high calcium result of 10.3. I do not have any noticeable symptoms and do not drink. I have had my gallbladder removed when I was 14 as I was reading the elevations could be due to blockage from gallstone in my bile ducts? Any help?

i had laprascopic cholecystectomy on august 23. the surgeon stated their were complications. i had five incision site; the imbilical one contained 8 sutures alone and a jp drain. since that time i have constant pain, fever, nausea, vomiting, appearance of jaundice on my face. i have been to see the surgeon four times and to the e.r. the surgeon stated that i had fluid in the abdomen and cholangitis and gave me a prescription for antibiotics that i am not responding too. i am thinking there is a bile duct injury. i have had two ct scans with contrast and it is not showing anything out of the norm they say and blood work just shows elevated wbc. i thought that it was the norm to either do a choliangagram (not spelled correctly) or ultrasound. i am looking for another doctor before it worsens. because everything i read sounds like a bile duct injury.

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